Knee Diagnostic MSK Ultrasound.pptx

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Basics for Advance Practitioners, orthopaedic, registrar who wanted to learn the diagnostic ultrasound, implement and improve musculoskeletal practice as POCUS (point of care ultrasound). Other healthcare professionals can also benefit such as sonographers, osteopath, chiropractors.

Healthcare

• PRACTICAL TIPS
• BEYOND NORMAL APPEARANCE
• PATHOLOGICAL APPEARANCES
• IMPROVING OPERATORS SKILS
• PROBE POSITIONING AND
STRUCTURE LOCATION
AAMIR SAFDAR-KHAN
Advance Musculoskeletal Practitioner
Diagnostic & Interventional MSK Sonographer

QUADRICEPS TENDON And SYNOVIAL RECESS
Evaluation in LS (longitudinal)
Importance of Starting
Position
 Three layers
 Attachment
 Enthestitis
 Dynamic Test
 Central Tendon

Evaluating Medial and
Lateral in TS (transverse)
 Fluid collection in
dependent recesses
 Doppler (power)
 Pressure during Doppler
 Can track tendon as far as
rectus femoris
 Window for injection - I
prefer medial

PATELLAR TENDON INSERTIONS
(patellar and tibial tuberosity)
Tibial Insertion: Enthesitis?
Patellar Insertion: Enthesitis?
Bursitis: One small fluid?
Hoffa Fat Pad: Impingement – what are the signs (Doppler?)

IT Band
 Gerdy;s tubercle
 Probe positioning otherwise can get confused with
patellar tendon
 Tracking to femoral condyle for bursitis

PES ANSERINUS TENDON AND BURSA
 Groove with neurovasuclar bundle underneath
 Doppler may be helpful in identifying
 Tracking MCL is technique to identify it

MCL AND LCL
BICEPS FEMORIS
 Angulation and cross position
 For LCL head of fibula
 Biceps femoris head of fibula
 Fibular pattern of all of them
 Relevance patellar groove and tendon to LCL
 Common injury of MCL (proximal attachment)
 Common injury of LCL (distal attachment)
 Tracking biceps femoris to conjoint tendon (posterior
hip if having a time)

 MCL relationship
 LCL relationship
 Biceps femoris

 Baker’s cyst
 Gastrocnemius and Semi-Membranosus
 Lets open the link and learn more about
https://www.linkedin.com/posts/aamir-safdar-khan-
35238816_importance-of-ultrasound-calf-tear-is-a-activity-
6773968991934410752-JXcE
Thank you…………….
AAMIR SAFDAR KHAN
Advance Practice Physiotherapist
Diagnostic & Interventional MSK Sonographer

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Knee Diagnostic MSK Ultrasound.pptx

1. • PRACTICAL TIPS • BEYOND NORMAL APPEARANCE • PATHOLOGICAL APPEARANCES • IMPROVING OPERATORS SKILS • PROBE POSITIONING AND STRUCTURE LOCATION AAMIR SAFDAR-KHAN Advance Musculoskeletal Practitioner Diagnostic & Interventional MSK Sonographer

2. QUADRICEPS TENDON And SYNOVIAL RECESS Evaluation in LS (longitudinal) Importance of Starting Position  Three layers  Attachment  Enthestitis  Dynamic Test  Central Tendon

3. Evaluating Medial and Lateral in TS (transverse)  Fluid collection in dependent recesses  Doppler (power)  Pressure during Doppler  Can track tendon as far as rectus femoris  Window for injection - I prefer medial

4. PATELLAR TENDON INSERTIONS (patellar and tibial tuberosity) Tibial Insertion: Enthesitis? Patellar Insertion: Enthesitis? Bursitis: One small fluid? Hoffa Fat Pad: Impingement – what are the signs (Doppler?)

5. IT Band  Gerdy;s tubercle  Probe positioning otherwise can get confused with patellar tendon  Tracking to femoral condyle for bursitis

6. PES ANSERINUS TENDON AND BURSA  Groove with neurovasuclar bundle underneath  Doppler may be helpful in identifying  Tracking MCL is technique to identify it

7. CHECK PES ANSERINUS BURSITIS

8. MCL AND LCL BICEPS FEMORIS  Angulation and cross position  For LCL head of fibula  Biceps femoris head of fibula  Fibular pattern of all of them  Relevance patellar groove and tendon to LCL  Common injury of MCL (proximal attachment)  Common injury of LCL (distal attachment)  Tracking biceps femoris to conjoint tendon (posterior hip if having a time)

9.  MCL relationship  LCL relationship  Biceps femoris

10.  Baker’s cyst  Gastrocnemius and Semi-Membranosus  Lets open the link and learn more about https://www.linkedin.com/posts/aamir-safdar-khan- 35238816_importance-of-ultrasound-calf-tear-is-a-activity- 6773968991934410752-JXcE Thank you……………. AAMIR SAFDAR KHAN Advance Practice Physiotherapist Diagnostic & Interventional MSK Sonographer

Knee Diagnostic MSK Ultrasound.pptx

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